MEDICARE: JANE S DESJARDINS CCC, SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA4411	FL

General Provider Information

NPI Number	:	1831337971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE S DESJARDINS CCC, SLP

Provider Business Mailing Address
First Line	:	6401 S WESTSHORE BLVD
Second Line	:	APT 617
City	:	TAMPA
State	:	FL
Zip	:	33616-2912
Country	:	US
Telephone Number	:	813-598-2422
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 S WESTSHORE BLVD
Second Line	:	APT 617
City	:	TAMPA
State	:	FL
Zip	:	33616-2912
Country	:	US
Telephone Number	:	813-598-2422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2009
Last Update Date	:	01/28/2009

Similar Medicare Providers

1457353153 — DR. MULUKEN DEMESSIE FREW MD
Practice Location Address:

2912 W WATERS AVE
TAMPA, FL
33614-1855

Practice Phone: 813-443-4611
Practice Fax: 813-443-4754

1285871236 — R & GRIFFITH ENTERPRISE INC
Practice Location Address:

2912 W WATERS AVE
TAMPA, FL
33614-1855

Practice Phone: 813-865-0522
Practice Fax: 813-865-0524

1225358757 — CARING ANGELS ASSISTED LIVING FACILITY INC.
Practice Location Address:

8006 W POCAHONTAS AVE
TAMPA, FL
33615-2912

Practice Phone: 813-374-3176
Practice Fax: 813-374-3176

1285977520 — MANTRA COUNSELING, LLC
Practice Location Address:

4230 SOUTH MACDILL AVE , SUITE 209
TAMPA, FL
33611-2912

Practice Phone: 813-808-1956
Practice Fax: 888-977-1272

1053751123 — CARING ANGELS FOR YOU ALF CORP
Practice Location Address:

8006 W POCAHONTAS AVE
TAMPA, FL
33615-2912

Practice Phone: 813-374-3176
Practice Fax: 813-442-6033

1235785676 — NADIYAH EL-AMIN-LUCAS
Practice Location Address:

2912 E 23RD AVE
TAMPA, FL
33605-2122

Practice Phone: 813-298-3162
Practice Fax:

Directions to “ JANE S DESJARDINS CCC, SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.